JENNIFER MCCOY (NPI# 1386243228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386243228 |
| Entity Type | Individual |
| Full Name | JENNIFER MCCOY |
| Credential | CNS |
| Practice Address |
28720 Canwood St Ste 108 Agoura Hills CA 91301-9745 |
| Mailing Address |
4890 Read Rd Moorpark CA 93021-2219 |
| Practice Telephone | 8057914812 |
| Mailing Telephone | 8057914812 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 2948 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619526159 | Jennifer Mccoy | Registered Nurse | 4 Oaklawn Ave, Farmingville, NY 11738-2504 | 2019-09-07 |
| 1063891406 | Jennifer Mccoy | Student in an Organized Health Care Education/Training Program | 527 S 21st St, Apt 2r, Philadelphia, PA 19146-1345 | 2015-05-19 |
| 1831596717 | Jennifer Lauren Mccoy | Specialist | 411 Overlook Rd, Boaz, AL 35956-5928 | 2014-11-20 |
| 1114154937 | Jennifer Mccoy | Registered Nurse | 4031 Murdock Ave, Bronx, NY 10466-2322 | 2009-06-19 |
| 1275707200 | Jennifer Lynn Mccoy | Dentist | 365 W Pike St Ste 101, Lawrenceville, GA 30046-4862 | 2008-04-22 |
| 1871113993 | Jennifer Leeann Mccoy | Pharmacist | 465 S Mount Auburn Rd Ste 101, Cape Girardeau, MO 63703-4931 | 2020-04-18 |
| 1235762915 | Jennifer L Mccoy | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-02-20 |
| 1619219060 | Jennifer Mccoy | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2013-03-25 |
| 1902191729 | Jennifer Lee Mccoy | Social Worker | 2300 Lee Rd, Winter Park, FL 32789-1750 | 2011-06-09 |
| 1306167556 | Jennifer Wallace Mccoy | Pediatrics | 1120 15th St, Augusta, GA 30912-0004 | 2010-06-22 |
| Street Address |
28720 CANWOOD ST STE 108 |
| City | AGOURA HILLS |
| State | CA |
| Zip Code | 91301-9745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477165 | Guided Care Inc. | Clinic/Center | 28720 Canwood St Ste 108, Agoura Hills, CA 91301-9745 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
| 1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
| 1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
| 1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| 1902152507 | Bethany Vaudrey | Psychologist | 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 | 2012-08-01 |
| 1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
| Find all providers in zip 91301 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336956 | Ryan Russo | Clinical Nurse Specialist | 2376 Soto St, San Diego, CA 92107-1410 | 2020-11-07 |
| 1992311757 | Jose Chavez | Clinical Nurse Specialist | 4940 Laurel Canyon Blvd Apt 101, Valley Village, CA 91607-6007 | 2020-09-17 |
| 1134697238 | Tomoko Takano | Clinical Nurse Specialist | 1520 Los Montes Dr, Burlingame, CA 94010-5964 | 2018-11-06 |
| 1811465388 | Mary Molle | Clinical Nurse Specialist | 7509 Whitegate Ave, Riverside, CA 92506-5455 | 2018-11-02 |
| 1205320322 | Richelle Marvett Littlejohn | Clinical Nurse Specialist | 1364 W 139th St Unit A, Gardena, CA 90247-2235 | 2018-06-21 |
| 1871015834 | Cecilia Patricia Gray | Clinical Nurse Specialist | 1200 N State St # Gh-4220, Los Angeles, CA 90033-1029 | 2017-07-12 |
| 1144752650 | Joann Munski | Clinical Nurse Specialist | 565 Cooper Dr, Benicia, CA 94510-1301 | 2017-04-03 |
| 1659721249 | Darwin Sacdalan | Clinical Nurse Specialist | 7137 Lyndale Cir, Elk Grove, CA 95758-6357 | 2016-06-15 |
| 1548679442 | Renee Center | Clinical Nurse Specialist | 216 Phelan Ave, Vallejo, CA 94590-6463 | 2014-08-05 |
| 1194154419 | Mariana L Norby | Clinical Nurse Specialist | 9323 N Saybrook Dr, 227, Fresno, CA 93720-0829 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
| City | AGOURA HILLS |
| Zip Code | 91301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.